NPIMap

Organization Active NPI

Laboratorio Clinico El Mani

  • Clinical Medical Laboratory
  • Mayaguez, PR
National Provider Identifier
1174743157
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
909 Issued in PR
Legal business name
LABORATORIO CLINICO EL MANI
Practice address
Carretero 64 KM 3.7 Barrio Mani
Mayaguez, PR 00680
Phone
(787) 832-6565
NPI assigned
May 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeannette Seda Rodriguez, MT
Title
Supervisora Propietaria del Laborat
Phone
(787) 832-6565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 909 PR Primary

Addresses

Primary practice location

Carretero 64 KM 3.7 Barrio Mani
Mayaguez, PR 00680

Mailing address

Urb Ext Baringquen Calle Francisco Gonzalez M12
Cabo Rojo, PR 00623
Phone (787) 832-6565

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174743157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB EXT BARINGQUEN CALLE FRANCISCO GONZALEZ M12",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "787-832-6565",
            "fax_number": "787-832-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERO 64 KM 3.7 BARRIO MANI",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-832-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO EL MANI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEDA RODRIGUEZ",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_title_or_position": "SUPERVISORA PROPIETARIA DEL LABORAT",
        "authorized_official_telephone_number": "787-832-6565",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.